Harold Kolodney, Jr., D. M. D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

PROS-274-94 Issued in MS

Practice address

7728 Old Canton Rd
Suite B
Madison, MS 39110-6103

Phone

(601) 856-4420

Fax

(601) 853-1592

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1972655736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7728 OLD CANTON RD",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106103",
            "telephone_number": "601-856-4420",
            "fax_number": "601-853-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7728 OLD CANTON RD",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106103",
            "telephone_number": "601-856-4420",
            "fax_number": "601-853-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODNEY, JR.",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MS",
            "license": "PROS-274-94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660338",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy Wayne King, RPH
• Caitlyn Watts King
• Elizabeth Kinney, SLP
• Kristopher Kinser
• Rebecca Kirk, LPC
• Veronica A Kon Graversen, M.D.
• Kevin Kosek, M. D.
• Mark Gill Kosko, M.D.
• Sarah Ann Kowalczyk, BCBA
• Kroger Limited Partnership I (Kroger Pharmacy #472)

• Prosthodontics in Madison, MS
• Providers in Madison, MS by specialty
• Prosthodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.